ASHLAND COMMUNITY HOSPITAL FOUNDATION: Form 990, tax year 2012

View the entire original 990 at ProPublica ↗

Organization: ASHLAND COMMUNITY HOSPITAL FOUNDATION (EIN 93-0691238)
Tax period: 2012-01-01 to 2012-12-31
Filed: 2013-08-30
IRS object ID: 201302429349300625
Schema version: 2012v2.1
Source: Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header
Form 990
Schedule A
Schedule B
Schedule D
Schedule I
Schedule M
Schedule O

Return header ReturnHeader

Field	Value	IRS element (for citing)
Timestamp	2013-08-30T15:42:32-05:00	Timestamp
Tax Period End Date	2012-12-31	TaxPeriodEndDate

Preparer Firm PreparerFirm

Field	Value	IRS element (for citing)
EIN	204749363	EIN

Preparer Firm Business Name PreparerFirmBusinessName

Field	Value	IRS element (for citing)
Business Name Line1	ISLER MEDFORD LLC	BusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

Field	Value	IRS element (for citing)
Address Line1	839 ALDER CREEK DR	AddressLine1
City	MEDFORD	City
State	OR	State
ZIP Code	97504	ZIPCode

Field	Value	IRS element (for citing)
Return Type	990	ReturnType
Tax Period Begin Date	2012-01-01	TaxPeriodBeginDate

Filer Filer

Field	Value	IRS element (for citing)
EIN	930691238	EIN

Name Name

Field	Value	IRS element (for citing)
Business Name Line1	ASHLAND COMMUNITY HOSPITAL FOUNDATION	BusinessNameLine1

Field	Value	IRS element (for citing)
Name Control	ASHL	NameControl
Phone	5412014014	Phone

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	280 MAPLE STREET	AddressLine1
City	ASHLAND	City
State	OR	State
ZIP Code	97520	ZIPCode

Officer Officer

Field	Value	IRS element (for citing)
Name	ED COLSON	Name
Title	TREASURER	Title
Phone	5412014014	Phone
Date Signed	2013-08-27	DateSigned
Authorize Third Party	1	AuthorizeThirdParty

Preparer Preparer

Field	Value	IRS element (for citing)
Name	CAROLYN M RYDER	Name
PTIN	P00033827	PTIN
Phone	5417797641	Phone

Field	Value	IRS element (for citing)
Tax Year	2012	TaxYear
Build TS	2016-02-24 21:20:13Z	BuildTS

Form 990 IRS990

Field	Value	IRS element (for citing)
Name Of Principal Officer Person	JANET TROY	NameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

Field	Value	IRS element (for citing)
Address Line1	280 MAPLE STREET	AddressLine1
City	ASHLAND	City
State	OR	State
ZIP Code	97520	ZIPCode

Field	Value	IRS element (for citing)
Gross Receipts	846094	GrossReceipts
Group Return For Affiliates	0	GroupReturnForAffiliates
Organization501c3	X	Organization501c3
Web Site	WWW.ACHFOUNDATION.ORG	WebSite
Type Of Organization Corporation	X	TypeOfOrganizationCorporation
Year Formation	1977	YearFormation
State Legal Domicile	OR	StateLegalDomicile
Activity Or Mission Description	OUR MISSION IS TO SOLICIT, STEWARD AND GRANT FUNDS TO SUPPORT ASHLAND COMMUNITY HOSPITAL.VISION INSPIRING PHILANTHROPY TO ENHANCE ASHLAND COMMUNITY HOSPITAL SERVICES.VALUES WE ACHIEVE OUR VISION AND LIVE OUR MISSION BY VALUING:PASSION FOR ASHLAND COMMUNITY HOSPITAL AND COMMUNITY HEALTH;GENEROSITY WITH CHARITABLE GIFTS, TIME, AND EXPERTISE;STEWARDSHIP IN THE MANAGEMENT OF ASSETS ENTRUSTED TO OUR CARE;STRATEGIC PARTNERSHIP WITH ASHLAND COMMUNITY HOSPITAL, ASANTE AND COMMUNITY MEMBERS;ADVOCACY TO RAISE THE PROFILE OF ASHLAND COMMUNITY HOSPITAL AS AN HONORED INSTITUTION IN THE COMMUNITY; INDEPENDENCE FOR ASHLAND COMMUNITY HOSPITAL FOUNDATION	ActivityOrMissionDescription
Nbr Voting Members Governing Body	17	NbrVotingMembersGoverningBody
Nbr Independent Voting Members	17	NbrIndependentVotingMembers
Total Nbr Employees	0	TotalNbrEmployees
Total Nbr Volunteers	0	TotalNbrVolunteers
Total Gross UBI	178510	TotalGrossUBI
Net Unrelated Business Txbl Income	0	NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year	356672	ContributionsGrantsPriorYear
Contributions Grants Current Year	257954	ContributionsGrantsCurrentYear
Program Service Revenue Prior Year	289810	ProgramServiceRevenuePriorYear
Program Service Revenue CY	319602	ProgramServiceRevenueCY
Investment Income Prior Year	94097	InvestmentIncomePriorYear
Investment Income Current Year	73793	InvestmentIncomeCurrentYear
Other Revenue Prior Year	175845	OtherRevenuePriorYear
Other Revenue Current Year	178655	OtherRevenueCurrentYear
Total Revenue Prior Year	916424	TotalRevenuePriorYear
Total Revenue Current Year	830004	TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year	433979	GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY	332784	GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year	0	BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY	0	BenefitsPaidToMembersCY
Salaries Etc Prior Year	0	SalariesEtcPriorYear
Salaries Etc Current Year	0	SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year	0	TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY	0	TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year	0	TotalFundrsngExpCurrentYear
Other Expense Prior Year	431901	OtherExpensePriorYear
Other Expenses Current Year	412234	OtherExpensesCurrentYear
Total Expenses Prior Year	865880	TotalExpensesPriorYear
Total Expenses Current Year	745018	TotalExpensesCurrentYear
Revenues Less Expenses Prior Year	50544	RevenuesLessExpensesPriorYear
Revenues Less Expenses CY	84986	RevenuesLessExpensesCY
Total Assets BOY	5704140	TotalAssetsBOY
Total Assets EOY	5201898	TotalAssetsEOY
Total Liabilities BOY	2316375	TotalLiabilitiesBOY
Total Liabilities EOY	1705961	TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY	3387765	NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY	3495937	NetAssetsOrFundBalancesEOY
Info In Schedule O Part III	X	InfoInScheduleOPartIII
Mission Description	OUR MISSION IS TO SOLICIT, STEWARD AND GRANT FUNDS TO SUPPORT ASHLAND COMMUNITY HOSPITAL.	MissionDescription
Significant New Program Services	0	SignificantNewProgramServices
Significant Change	0	SignificantChange
Expense	394176	Expense
Grants	332784	Grants
Revenue	127028	Revenue
Description	SEE SCHEDULE O	Description

Activity2 Activity2

Field	Value	IRS element (for citing)
Expense	148485	Expense
Revenue	144239	Revenue
Description	TO IMPROVE PATIENT CARE, ASHLAND COMMUNITY HOSPITAL FOUNDATION CONSTRUCTED A TWO-STORY MEDICAL OFFICE BUILDING IN ASHLAND, OREGON IN 1999. THIS ENABLED THE FOUNDATION TO LOCATE A VARIETY OF ASHLAND'S FINEST MEDICAL SPECIALISTS IN ONE LOCATION, CLOSE TO ASHLAND COMMUNITY HOSPITAL. THIS PROJECT HAS IMPROVED PATIENT ACCESS TO CARE AND INCREASED PATIENT CONVENIENCE BY HAVING A VARIETY OF SPECIALISTS IN ONE LOCATION.	Description

Activity3 Activity3

Field	Value	IRS element (for citing)
Expense	68944	Expense
Revenue	64638	Revenue
Description	TO ENSURE ADEQUATE OFFICE SPACE FOR PHYSICIANS, THE FOUNDATION ACQUIRED A MEDICAL OFFICE BUILDING TO MEET THE INTERNAL MEDICINE DEMANDS OF OUR AGING COMMUNITY. MEDICAL OFFICE SPACE IN THE BUILDING IS RENTED TO ASHLAND COMMUNITY HOSPITAL'S CENTER FOR FAMILY MEDICINE. THIS ACQUISITION HAS HELPED ENSURE QUALITY CARE FOR ASHLAND FAMILIES.	Description

Field	Value	IRS element (for citing)
Total Program Service Expense	611605	TotalProgramServiceExpense
Described In501 C3	1	DescribedIn501C3
Schedule B Required	1	ScheduleBRequired
Political Activities	0	PoliticalActivities
Lobbying Activities	0	LobbyingActivities
Subject To Proxy Tax	0	SubjectToProxyTax
Donor Advised Funds	1	DonorAdvisedFunds
Conservation Easements	0	ConservationEasements
Collections Of Art	0	CollectionsOfArt
Credit Counseling	0	CreditCounseling
Term Or Permanent Endowments	1	TermOrPermanentEndowments
Report Land Bldg Equip	1	ReportLandBldgEquip
Report Invest Oth Securities	0	ReportInvestOthSecurities
Report Prog Rel Invest	0	ReportProgRelInvest
Report Other Assets	0	ReportOtherAssets
Report Other Liabilities	1	ReportOtherLiabilities
Report Fin48 Footnote	1	ReportFin48Footnote
Independent Audit Financial Stmt	1	IndependentAuditFinancialStmt
Consolidated Audit Financial Stmt	0	ConsolidatedAuditFinancialStmt
School	0	School
Foreign Office	0	ForeignOffice
Foreign Activities	0	ForeignActivities
More Than5000 K To Organizations	0	MoreThan5000KToOrganizations
More Than5000 K To Individuals	0	MoreThan5000KToIndividuals
Professional Fundraising	0	ProfessionalFundraising
Fundraising Activities	0	FundraisingActivities
Gaming	0	Gaming
Hospital	0	Hospital
Grants To Organizations	1	GrantsToOrganizations
Grants To Individuals	1	GrantsToIndividuals
Schedule J Required	0	ScheduleJRequired
Tax Exempt Bonds	0	TaxExemptBonds
Excess Benefit Transaction	0	ExcessBenefitTransaction
Prior Excess Benefit Transaction	0	PriorExcessBenefitTransaction
Loan To Officer Or DQP	0	LoanToOfficerOrDQP
Grant To Related Person	0	GrantToRelatedPerson
Bsnss Rltnshp With Organization	0	BsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family Member	0	BsnssRltnshpThruFamilyMember
Officer Entity With Bsnss Rltnshp	0	OfficerEntityWithBsnssRltnshp
Deductible Non Cash Contributions	1	DeductibleNonCashContributions
Deductible Contributions Of Art	0	DeductibleContributionsOfArt
Terminated	0	Terminated
Partial Liquidation	0	PartialLiquidation
Disregarded Entity	0	DisregardedEntity
Related Entity	0	RelatedEntity
Related Org Controlled Entity	0	RelatedOrgControlledEntity
Transfers To Exempt Non Chrtbl Org	0	TransfersToExemptNonChrtblOrg
Activities Conducted Partnership	0	ActivitiesConductedPartnership
Schedule O Required	1	ScheduleORequired
Number Forms Transmitted With1096	9	NumberFormsTransmittedWith1096
Number W2 G Included	0	NumberW2GIncluded
Compliance With Backup Witholding	1	ComplianceWithBackupWitholding
Number Of Employees	0	NumberOfEmployees
Unrelated Business Income	1	UnrelatedBusinessIncome
Form990-T Filed	1	Form990-TFiled
Foreign Financial Account	0	ForeignFinancialAccount
Prohibited Tax Shelter Trans	0	ProhibitedTaxShelterTrans
Taxable Party Notification	0	TaxablePartyNotification
Non Deductible Contributions	0	NonDeductibleContributions
Quid Pro Quo Contributions	0	QuidProQuoContributions
Form8282 Property Disposed Of	0	Form8282PropertyDisposedOf
Funds To Pay Premiums	0	FundsToPayPremiums
Premiums Paid	0	PremiumsPaid
Form8899 Filed	0	Form8899Filed
Form1098 C Filed	0	Form1098CFiled
Indoor Tanning Services	0	IndoorTanningServices
Info In Schedule O Part VI	X	InfoInScheduleOPartVI
Nbr Voting Governing Body Members	17	NbrVotingGoverningBodyMembers
Number Independent Voting Members	17	NumberIndependentVotingMembers
Family Or Business Relationship	0	FamilyOrBusinessRelationship
Delegation Of Management Duties	0	DelegationOfManagementDuties
Changes To Organizing Docs	0	ChangesToOrganizingDocs
Material Diversion Or Misuse	0	MaterialDiversionOrMisuse
Members Or Stockholders	1	MembersOrStockholders
Election Of Board Members	1	ElectionOfBoardMembers
Decisions Subject To Approval	1	DecisionsSubjectToApproval
Minutes Of Governing Body	1	MinutesOfGoverningBody
Minutes Of Committees	1	MinutesOfCommittees
Officer Mailing Address	0	OfficerMailingAddress
Local Chapters	0	LocalChapters
Form990 Provided To Governing Body	1	Form990ProvidedToGoverningBody
Conflict Of Interest Policy	1	ConflictOfInterestPolicy
Annual Disclosure Covered Persons	1	AnnualDisclosureCoveredPersons
Regular Monitoring Enforcement	1	RegularMonitoringEnforcement
Whistleblower Policy	0	WhistleblowerPolicy
Document Retention Policy	1	DocumentRetentionPolicy
Compensation Process CEO	0	CompensationProcessCEO
Compensation Process Other	0	CompensationProcessOther
Investment In Joint Venture	0	InvestmentInJointVenture
States Where Copy Of Return Is Filed	OR	StatesWhereCopyOfReturnIsFiled
Own Website	X	OwnWebsite
Upon Request	X	UponRequest

The Books Are In Care Of TheBooksAreInCareOf

Name Business NameBusiness

Field	Value	IRS element (for citing)
Business Name Line1	REID HANNA & COMPANY LLP	BusinessNameLine1

Field	Value	IRS element (for citing)
Telephone Number	5414823711	TelephoneNumber

Address US AddressUS

Field	Value	IRS element (for citing)
Address Line1	1101 SISKIYOU BLVD	AddressLine1
City	ASHLAND	City
State	OR	State
ZIP Code	97520	ZIPCode

Field	Value	IRS element (for citing)
No Listed Persons Compensated	X	NoListedPersonsCompensated

Form990 Part VII Section A Form990PartVIISectionA (17 entries)

TitleTitle	Average Hours Per WeekAverageHoursPerWeek	Individual Trustee Or DirectorIndividualTrusteeOrDirector	Reportable Comp From OrganizationReportableCompFromOrganization	Reportable Comp From Related OrgsReportableCompFromRelatedOrgs	Other CompensationOtherCompensation	OfficerOfficer
PAT ACKLIN
DIRECTOR	2.00	X	0	0	0
JOHN ALEXANDER
DIRECTOR	2.00	X	0	0	0
BRIAN ALMQUIST
DIRECTOR	2.00	X	0	0	0
CHARLES BUTLER
DIRECTOR	2.00	X	0	0	0
BRANDT CULLEN
DIRECTOR	2.00	X	0	0	0
JACK DAVIS
DIRECTOR	2.00	X	0	0	0
JONATHON ELDRIDGE
DIRECTOR	2.00	X	0	0	0
THOMAS B KENNEDY
DIRECTOR	2.00	X	0	0	0
MARJORIE LININGER
DIRECTOR	2.00	X	0	0	0
PAUL ROSTYKUS
DIRECTOR	2.00	X	0	0	0
BART RUPERT
DIRECTOR	2.00	X	0	0	0
SANDRA SLATTERY
DIRECTOR	2.00	X	0	0	0
GARRISON TURNER
DIRECTOR	2.00	X	0	0	0
ALAN STEED
TREASURER	2.00		0	0	0	X
TOM GRIMLAND
PRESIDENT	2.00		0	0	0	X
ELIZABETH A MURPHY
SECRETARY	2.00		0	0	0	X
ED COLSON
VICE PRESIDENT	2.00		0	0	0	X

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	0	TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs	0	TotalReportableCompFrmRltdOrgs
Total Other Compensation	0	TotalOtherCompensation
Number Individuals GT100 K	0	NumberIndividualsGT100K
Formers Listed	0	FormersListed
Total Comp GT150 K	0	TotalCompGT150K
Compensation From Other Sources	0	CompensationFromOtherSources
Number Of Contractors GT100 K	0	NumberOfContractorsGT100K
All Other Contributions	257954	AllOtherContributions
Total Contributions	257954	TotalContributions

Program Service Revenue ProgramServiceRevenue

Field	Value	IRS element (for citing)
Description	RENT OF MED FACILITIES	Description
Business Code	531390	BusinessCode
Total Revenue Column	319602	TotalRevenueColumn
Related Or Exempt Function Income	319602	RelatedOrExemptFunctionIncome

Field	Value	IRS element (for citing)
Total Program Service Revenue	319602	TotalProgramServiceRevenue

Investment Income InvestmentIncome

Field	Value	IRS element (for citing)
Total Revenue Column	57635	TotalRevenueColumn
Exclusion	$57,635	ExclusionAmount

Gross Rents GrossRents

Field	Value	IRS element (for citing)
Real	194600	Real

Less Rental Expenses LessRentalExpenses

Field	Value	IRS element (for citing)
Real	16090	Real

Rental Income Or Loss RentalIncomeOrLoss

Field	Value	IRS element (for citing)
Real	178510	Real

Net Rental Income Or Loss NetRentalIncomeOrLoss

Field	Value	IRS element (for citing)
Total Revenue Column	178510	TotalRevenueColumn
Unrelated Business Revenue	178510	UnrelatedBusinessRevenue

Gross Amount Sales Assets GrossAmountSalesAssets

Field	Value	IRS element (for citing)
Securities	16158	Securities

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

Field	Value	IRS element (for citing)
Securities	0	Securities

Gain Or Loss GainOrLoss

Field	Value	IRS element (for citing)
Securities	16158	Securities

Net Gain Or Loss Investments NetGainOrLossInvestments

Field	Value	IRS element (for citing)
Total Revenue Column	16158	TotalRevenueColumn
Related Or Exempt Function Income	16158	RelatedOrExemptFunctionIncome

Other Revenue Misc OtherRevenueMisc

Field	Value	IRS element (for citing)
Description	MISCELLANEOUS INCOME	Description
Business Code	561000	BusinessCode
Total Revenue Column	145	TotalRevenueColumn
Related Or Exempt Function Income	145	RelatedOrExemptFunctionIncome

Field	Value	IRS element (for citing)
Total Other Revenue	145	TotalOtherRevenue

Total Revenue TotalRevenue

Field	Value	IRS element (for citing)
Total Revenue Column	830004	TotalRevenueColumn
Related Or Exempt Function Income	335905	RelatedOrExemptFunctionIncome
Unrelated Business Revenue	178510	UnrelatedBusinessRevenue
Exclusion	$57,635	ExclusionAmount

Grants To Domestic Orgs GrantsToDomesticOrgs

Field	Value	IRS element (for citing)
Total	332784	Total
Program Services	332784	ProgramServices

Fees For Services Legal FeesForServicesLegal

Field	Value	IRS element (for citing)
Total	7787	Total
Management And General	7787	ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

Field	Value	IRS element (for citing)
Total	26605	Total
Management And General	26605	ManagementAndGeneral

Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees

Field	Value	IRS element (for citing)
Total	11839	Total
Management And General	11839	ManagementAndGeneral

Advertising Advertising

Field	Value	IRS element (for citing)
Total	2200	Total
Management And General	2200	ManagementAndGeneral

Office Expenses OfficeExpenses

Field	Value	IRS element (for citing)
Total	162	Total
Management And General	162	ManagementAndGeneral

Information Technology InformationTechnology

Field	Value	IRS element (for citing)
Total	9599	Total
Management And General	9599	ManagementAndGeneral

Interest Interest

Field	Value	IRS element (for citing)
Total	120992	Total
Program Services	120992	ProgramServices

Depreciation Depletion DepreciationDepletion

Field	Value	IRS element (for citing)
Total	83044	Total
Program Services	83044	ProgramServices

Other Expenses OtherExpenses (2 entries)

DescriptionDescription	TotalTotal	Management And GeneralManagementAndGeneral	Program ServicesProgramServices
OTHER OPERATING EXPENSE	75221	75221
OTHER RENTAL EXPENSE	74785		74785

Total Functional Expenses TotalFunctionalExpenses

Field	Value	IRS element (for citing)
Total	745018	Total
Program Services	611605	ProgramServices
Management And General	133413	ManagementAndGeneral
Fundraising	0	Fundraising

Cash Non Interest Bearing CashNonInterestBearing

Field	Value	IRS element (for citing)
BOY	14420	BOY
EOY	25893	EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

Field	Value	IRS element (for citing)
BOY	274527	BOY
EOY	314160	EOY

Pledges And Grants Receivable PledgesAndGrantsReceivable

Field	Value	IRS element (for citing)
BOY	26934	BOY
EOY	15484	EOY

Other Notes Loans Receivable Net OtherNotesLoansReceivableNet

Field	Value	IRS element (for citing)
BOY	170000	BOY
EOY	170000	EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

Field	Value	IRS element (for citing)
BOY	16335	BOY
EOY	16845	EOY

Field	Value	IRS element (for citing)
Land Buildings Equipment Basis	4806952	LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec	1223208	LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

Field	Value	IRS element (for citing)
BOY	3674339	BOY
EOY	3583744	EOY

Investments Other Securities InvestmentsOtherSecurities

Field	Value	IRS element (for citing)
BOY	1501060	BOY
EOY	1043054	EOY

Other Assets Total OtherAssetsTotal

Field	Value	IRS element (for citing)
BOY	26525	BOY
EOY	32718	EOY

Total Assets TotalAssets

Field	Value	IRS element (for citing)
BOY	5704140	BOY
EOY	5201898	EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

Field	Value	IRS element (for citing)
BOY	3669	BOY
EOY	26633	EOY

Grants Payable GrantsPayable

Field	Value	IRS element (for citing)
BOY	3265	BOY

Deferred Revenue DeferredRevenue

Field	Value	IRS element (for citing)
BOY	10298	BOY

Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp

Field	Value	IRS element (for citing)
BOY	1985730	BOY
EOY	1367432	EOY

Other Liabilities OtherLiabilities

Field	Value	IRS element (for citing)
BOY	313413	BOY
EOY	311896	EOY

Total Liabilities TotalLiabilities

Field	Value	IRS element (for citing)
BOY	2316375	BOY
EOY	1705961	EOY

Field	Value	IRS element (for citing)
Follow SFAS117	X	FollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

Field	Value	IRS element (for citing)
BOY	2248373	BOY
EOY	2391175	EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

Field	Value	IRS element (for citing)
BOY	444008	BOY
EOY	391229	EOY

Permanently Restricted Net Assets PermanentlyRestrictedNetAssets

Field	Value	IRS element (for citing)
BOY	695384	BOY
EOY	713533	EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

Field	Value	IRS element (for citing)
BOY	3387765	BOY
EOY	3495937	EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

Field	Value	IRS element (for citing)
BOY	5704140	BOY
EOY	5201898	EOY

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	X	InfoInScheduleOPartXI
Reconcilation Revenue Expenses	84986	ReconcilationRevenueExpenses
Reconciliation Unrealized Invest	20682	ReconciliationUnrealizedInvest
Reconcilation Other Changes	2504	ReconcilationOtherChanges
Info In Schedule O Part XII	X	InfoInScheduleOPartXII
Method Of Accounting Accrual	X	MethodOfAccountingAccrual
Accountant Compile Or Review	0	AccountantCompileOrReview
FS Audited	1	FSAudited

FS Audited Basis FSAuditedBasis

Field	Value	IRS element (for citing)
Financial Statement Separate	X	FinancialStatementSeparate

Field	Value	IRS element (for citing)
Audit Committee	1	AuditCommittee
Federal Grant Audit Required	0	FederalGrantAuditRequired

Schedule A IRS990ScheduleA

Field	Value	IRS element (for citing)
Publicly Supported Org170b1 Avi	X	PubliclySupportedOrg170b1Avi

Gifts Grants Contrib Received170 GiftsGrantsContribReceived170

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	479713	CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years	254930	CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years	288247	CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year	356672	CurrentTaxYearMinus1Year
Current Tax Year	257954	CurrentTaxYear
Total	1637516	Total

Total170 Total170

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	479713	CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years	254930	CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years	288247	CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year	356672	CurrentTaxYearMinus1Year
Current Tax Year	257954	CurrentTaxYear
Total	1637516	Total

Field	Value	IRS element (for citing)
Public Support Total170	1637516	PublicSupportTotal170

Gross Investment Income170 GrossInvestmentIncome170

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	627603	CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years	577919	CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years	675727	CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year	552331	CurrentTaxYearMinus1Year
Current Tax Year	571982	CurrentTaxYear
Total	3005562	Total

Net UBI NetUBI

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	-55509	CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years	-79305	CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years	-1701	CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year	7056	CurrentTaxYearMinus1Year
Current Tax Year	10708	CurrentTaxYear
Total	-118751	Total

Field	Value	IRS element (for citing)
Total Support	4524327	TotalSupport
Gross Receipts From Admissions Etc	47063	GrossReceiptsFromAdmissionsEtc
Public Support Pertcentage170	0.36190	PublicSupportPertcentage170
Public Support Pertcent Prior Year	0.38230	PublicSupportPertcentPriorYear
Thirty Three Percnt Tests CY170	X	ThirtyThreePercntTestsCY170

Schedule B IRS990ScheduleB

Contributor Info ContributorInfo

Field	Value	IRS element (for citing)
Contributor Number	RESTRICTED	ContributorNumber

Contributor Name Business ContributorNameBusiness

Field	Value	IRS element (for citing)
Business Name Line1	RESTRICTED	BusinessNameLine1

Contributor Address US ContributorAddressUS

Field	Value	IRS element (for citing)
Address Line1	RESTRICTED	AddressLine1
Address Line2	RESTRICTED	AddressLine2
City	RESTRICTED	City
State	RESTRICTED	State
ZIP Code	RESTRICTED	ZIPCode

Field	Value	IRS element (for citing)
Aggregate Contributions	RESTRICTED	AggregateContributions

Schedule D IRS990ScheduleD

Field	Value	IRS element (for citing)
Number DA Fs Held	1	NumberDAFsHeld
Grants Paid From Donor Funds	12000	GrantsPaidFromDonorFunds
Aggregate DAF Value	334313	AggregateDAFValue
Disclosed Orgs Legal Control	0	DisclosedOrgsLegalControl
Disclosed For Charitable Purposes	0	DisclosedForCharitablePurposes

Current Year CurrentYear

Field	Value	IRS element (for citing)
Beginning Of Year Balance	695384	BeginningOfYearBalance
Contributions	50	Contributions
Investment Earnings Or Losses	48141	InvestmentEarningsOrLosses
Grants Or Scholarships	12000	GrantsOrScholarships
Other Expenditures	12822	OtherExpenditures
Administrative Expenses	5220	AdministrativeExpenses
End Of Year Balance	713533	EndOfYearBalance

Current Year Minus1 Year CurrentYearMinus1Year

Field	Value	IRS element (for citing)
Beginning Of Year Balance	675700	BeginningOfYearBalance
Contributions	44426	Contributions
Investment Earnings Or Losses	2609	InvestmentEarningsOrLosses
Grants Or Scholarships	10667	GrantsOrScholarships
Other Expenditures	12025	OtherExpenditures
Administrative Expenses	4659	AdministrativeExpenses
End Of Year Balance	695384	EndOfYearBalance

Current Year Minus2 Years CurrentYearMinus2Years

Field	Value	IRS element (for citing)
Beginning Of Year Balance	632530	BeginningOfYearBalance
Contributions	43300	Contributions
Investment Earnings Or Losses	18200	InvestmentEarningsOrLosses
Grants Or Scholarships	18330	GrantsOrScholarships
End Of Year Balance	675700	EndOfYearBalance

Current Year Minus3 Years CurrentYearMinus3Years

Field	Value	IRS element (for citing)
Beginning Of Year Balance	630230	BeginningOfYearBalance
Contributions	2300	Contributions
End Of Year Balance	632530	EndOfYearBalance

Current Year Minus4 Years CurrentYearMinus4Years

Field	Value	IRS element (for citing)
Beginning Of Year Balance	504930	BeginningOfYearBalance
Contributions	125300	Contributions
End Of Year Balance	630230	EndOfYearBalance

Field	Value	IRS element (for citing)
Board Designated EOY Balance	0.09140	BoardDesignatedEOYBalance
Permanent Endowment EOY Balance	0.90860	PermanentEndowmentEOYBalance
Endowments Held By Unrelated Orgs	0	EndowmentsHeldByUnrelatedOrgs
Endowments Held By Related Orgs	0	EndowmentsHeldByRelatedOrgs

Land Land

Field	Value	IRS element (for citing)
Investment Cost Or Other Basis	1503172	InvestmentCostOrOtherBasis
Book Value	1503172	BookValue

Buildings Buildings

Field	Value	IRS element (for citing)
Investment Cost Or Other Basis	3280492	InvestmentCostOrOtherBasis
Depreciation	1200871	Depreciation
Book Value	2079621	BookValue

Equipment Equipment

Field	Value	IRS element (for citing)
Investment Cost Or Other Basis	23288	InvestmentCostOrOtherBasis
Depreciation	22337	Depreciation
Book Value	951	BookValue

Field	Value	IRS element (for citing)
Total Of Book Value Land Buildings	3583744	TotalOfBookValueLandBuildings

Other Securities OtherSecurities (2 entries)

DescriptionDescription	Book ValueBookValue	Method Of ValuationMethodOfValuation
MUTUAL FUNDS	863156	F
UNITRUST ASSETS	179898	F

Field	Value	IRS element (for citing)
Total Of Book Value Securities	1043054	TotalOfBookValueSecurities

Other Liabilities OtherLiabilities (3 entries)

DescriptionDescription	AmountAmount
ANNUITY OBLIGATION	$136,646
DEPOSITS	$5,250
INTERFUND LOAN PAYABLE	$170,000

Field	Value	IRS element (for citing)
Total Of Amounts	311896	TotalOfAmounts
Footnote In Part XIII	X	FootnoteInPartXIII
Tot Revenue Etc Audited Fincl Stmt	1121492	TotRevenueEtcAuditedFinclStmt
Net Unrealized Gains Investments	20682	NetUnrealizedGainsInvestments
Donated Srvc And Use Of Facilities	252213	DonatedSrvcAndUseOfFacilities
Other Revenues	2503	OtherRevenues
Revenue Not Rptd F990	275398	RevenueNotRptdF990
Revenue Subtotal	846094	RevenueSubtotal
Other Revenues Not Included	-16090	OtherRevenuesNotIncluded
Revenue Not Rptd On Fin Stmt	-16090	RevenueNotRptdOnFinStmt
Total Revenue Per Form990	830004	TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt	1013320	TotExpensesEtcAuditedFinclStmt
Donated Services Use Of Facilities	252213	DonatedServicesUseOfFacilities
Other Expenses Included	16089	OtherExpensesIncluded
Expenses Not Rptd F990	268302	ExpensesNotRptdF990
Expenses Subtotal	745018	ExpensesSubtotal
Expenses Not Rptd On Fin Stmt	0	ExpensesNotRptdOnFinStmt
Total Expenses Per Form990	745018	TotalExpensesPerForm990

Form990 Schedule D Part XIII Form990ScheduleDPartXIII (5 entries)

IdentifierIdentifier	Return ReferenceReturnReference	ExplanationExplanation
Description of Intended Use of Endowment Funds:	Part V, Line 4:	INCOME FROM EVANS SCHOLARSHIP ENDOWMENT FUND IS TO AWARD SCHOLARSHIPS TO STUDENTS WHO ARE PURSUING NURSING DEGREES FROM OREGON HEALTH SCIENCES UNIVERSITY AT SOUTHERN OREGON UNIVERSITY OR ROGUE COMMUNITY COLLEGE. INCOME FROM THE NIXON ENDOWMENT FUND IS GIFTED ANNUALLY TO THE FOUNDATION'S LIGHTS FOR LIFE CAMPAIGN.
Description of Uncertain Tax Positions Under FIN 48:	Part X, Line 2:	THE FOUNDATION IS EXEMPT FROM FEDERAL INCOME TAXES UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE, EXCEPT ON NET INCOME DERIVED FROM UNRELATED BUSINESS ACTIVITIES GENERATED FROM THE RENTAL OF CERTAIN DEBT-FINANCED PROPERTY. AT DECEMBER 31, 2012, THE ACTIVITY REPORTED OPERATING INCOME OF $4,237 THAT WAS APPLIED AGAINST OPERATING LOSS CARRYFORWARDS. THE UNUSED NET OPERATING LOSS CARRYFORWARDS MAY BE APPLIED AGAINST FUTURE TAXABLE INCOME. THE DEFERRED TAX ASSET HAS NOT BEEN RECORDED IN THE FINANCIAL STATEMENTS DUE TO THE UNDETERMINABLE TIMING OF EVENTS OF WHICH THE FOUNDATION WOULD BE ABLE TO UTILIZE THE CARRYFORWARDS. THE FOUNDATION'S FEDERAL EXEMPT ORGANIZATION BUSINESS INCOME TAX RETURNS (FORM 990-T) FOR 2009, 2010, AND 2011 ARE SUBJECT TO EXAMINATION BY THE IRS, GENERALLY FOR 3 YEARS AFTER THEY WERE FILED. MANAGEMENT BELIEVES IT HAS APPROPRIATE SUPPORT FOR ANY TAX POSITIONS TAKEN.
Part XI, Line 2d - Other Adjustments:		CHANGE IN SPLIT INTEREST AGREEMENT 2,503.
Part XI, Line 4b - Other Adjustments:		RENTAL EXPENSES -16,090.
Part XII, Line 2d - Other Adjustments:		RENTAL EXPENSES 16,090. ROUNDING -1.

Schedule I IRS990ScheduleI

Field	Value	IRS element (for citing)
Records Maintained	0	RecordsMaintained

Recipient Table RecipientTable

Recipient Name Business RecipientNameBusiness

Field	Value	IRS element (for citing)
Business Name Line1	ASHLAND COMMUNITY HOSPITAL	BusinessNameLine1

Address US AddressUS

Field	Value	IRS element (for citing)
Address Line1	PO BOX 98	AddressLine1
City	ASHLAND	City
State	OR	State
ZIP Code	97520	ZIPCode

Field	Value	IRS element (for citing)
Amount Of Cash Grant	305266	AmountOfCashGrant
Amount Of Non Cash Assistance	15518	AmountOfNonCashAssistance
Method Of Valuation	FMV	MethodOfValuation
Description Of Non Cash Assistance	GIFTS, GIFT CERTIFICATES, BABY PRODUCTS	DescriptionOfNonCashAssistance
Purpose Of Grant	FUNDING PROVIDED TO ASSIST WITH THE FOLLOWING PROGRAMS: EMERGENCY DEPARTMENT RENOVATION, HOSPICE AND PALLIATIVE CARE SERVICES, CARDIAC MONITOR & VIDEO LARYNGOSCOPE FOR THE EMERGENCY DEPARTMENT, DIAGNOSTIC IMAGING, BIRTHING CENTER, EMPLOYEE ASSISTANCE & EDUCATION, PLANETREE INITIATIVES AND HOME HEALTH, PATIENT ASSISTANCE, PHYSICAL THERAPY, WOMEN'S HEALTH, AND GREATEST NEEDS OF ACH INCLUDING THE GIFT SHOP REMODEL. FUNDING ALSO PROVIDED FOR THE SCHOOL NURSE PROGRAM FOR THE ELEMENTARY SCHOOLS IN THE ASHLAND AND PHOENIX-TALENT SCHOOL DISTRICTS.	PurposeOfGrant

Field	Value	IRS element (for citing)
Total Nbr Of501 C3 And Govt Grants	1	TotalNbrOf501C3AndGovtGrants

Form990 Schedule I Part III Form990ScheduleIPartIII

Field	Value	IRS element (for citing)
Type Of Grant	NURSING SCHOLARSHIPS AWARDED	TypeOfGrant
Number Of Recipients	12	NumberOfRecipients
Amount Of Cash Grant	12000	AmountOfCashGrant
Method Of Valuation	FMV	MethodOfValuation

Schedule M IRS990ScheduleM

Other Non Cash Contributions Table OtherNonCashContributionsTable (2 entries)

Non Cash CheckboxNonCashCheckbox	DescriptionDescription	Number Of ContributionsNumberOfContributions	Noncash Contribs Rptd F990NoncashContribsRptdF990	Method Of Determining RevenuesMethodOfDeterminingRevenues
X	OTHER SERVICES/GIFTS	15	30937	COMPARABLE SALES
X	ACH ADMIN/OFFICE SPACE	1	221276	FMV

Field	Value	IRS element (for citing)
Any Property That Must Be Held	0	AnyPropertyThatMustBeHeld
Review Process Unusual NC Gifts	1	ReviewProcessUnusualNCGifts
Third Parties Used	0	ThirdPartiesUsed

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (11 entries)

IdentifierIdentifier	Return ReferenceReturnReference	ExplanationExplanation
Organization Mission Statement	Form 990, Part I, Line 1	ASHLAND COMMUNITY HOSPITAL FOUNDATION IS ORGANIZED EXCLUSIVELY FOR CHARITABLE, EDUCATIONAL AND SCIENTIFIC PURPOSES, INCLUDING, FOR SUCH PURPOSES, THE MAKING OF DISTRIBUTIONS TO ORGANIZATIONS THAT QUALIFY AS EXEMPT ORGANIZATIONS UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE OF 1986 (AND SIMILAR PROVISIONS OF ANY FUTURE UNITED STATES INTERNAL REVENUE LAW). THE FOUNDATION SHALL HAVE THE FOLLOWING POWERS: (1) TO ASSIST, ENCOURAGE, PROMOTE AND ADVANCE THE QUALITY OF CARE, TREATMENT AND REHABILITATION OF THE SICK, AFFLICTED, INFIRM AND INJURED PATIENTS OF ASHLAND COMMUNITY HOSPITAL, ASHLAND, OREGON. (2) TO FURTHER THE CHARITABLE, SCIENTIFIC, EDUCATIONAL AND SERVICE ACTIVITIES OF ASHLAND COMMUNITY HOSPITAL. (3) TO SUPPORT ASHLAND COMMUNITY HOSPITAL, ITS OBJECTIVES AND PROJECTS BY APPROPRIATE REPRESENTATIONS TO THE PUBLIC WITH RESPECT TO THE HOSPITAL'S NEEDS, MISSION AND REQUIREMENTS AND TO SOLICIT FUNDS FOR ITS USE IN PROVIDING THE MEDICAL AND HOSPITAL FACILITIES NEEDED IN THE GENERAL COMMUNITY SERVED BY ASHLAND COMMUNITY HOSPITAL. (4) TO ACCEPT DONATIONS, GRANTS, BEQUESTS AND DEVISES FROM ANY SOURCES, AND TO ACCEPT PROPERTY OF ALL KINDS APPROPRIATE TO FOUNDATION PURPOSES. (5) TO FACILITATE, ASSIST, ENCOURAGE, SUPPORT, PROMOTE AND ADVANCE THE PHYSICAL, MENTAL AND EMOTIONAL HEALTH OF PERSONS WITHIN THE GEOGRAPHIC AREA SERVED BY ASHLAND COMMUNITY HOSPITAL THROUGH ANY LAWFUL ACTIVITIES, WHICH ARE AUTHORIZED UNDER THE LAWS APPLICABLE TO OREGON NONPROFIT CORPORATIONS WHICH ARE NOT PROHIBITED UNDER ARTICLE III OF THE ARTICLES OF INCORPORATION. (6) TO DO AND PERFORM SUCH OTHER ACTS AS MAY BE NECESSARY OR APPROPRIATE FOR CARRYING OUT THE FOREGOING PURPOSES OF THE CORPORATION AND IN CONNECTION THEREWITH TO ENGAGE IN ANY LAWFUL ACTIVITY AUTHORIZED BY THE OREGON NONPROFIT CORPORATION LAW AND NOT PROHIBITED BY THE ARTICLES OF INCORPORATION OR SECTION 2 OF THIS ARTICLE.
Program Service Statement	Form 990, Part III, Line 4a	PROGRAM SERVICE ACCOMPLISHMENTS A. CONTRIBUTIONS FROM THE FOUNDATION'S PATRONS CAMPAIGN AND LIGHTS FOR LIFE CAMPAIGN HELPED RENOVATE THE EMERGENCY DEPARTMENT. $178,470 B. THE FOUNDATION PROVIDED FUNDING FOR THE SCHOOL NURSE PROGRAM FOR THE ELEMENTARY SCHOOLS IN THE ASHLAND AND PHOENIX-TALENT SCHOOL DISTRICTS. THE FUNDING WAS MADE POSSIBLE THROUGH THE REED AND CAROLEE WALKER FUND OF THE OREGON COMMUNITY FOUNDATION AND THE COMMUNITY MEDICATION ASSISTANCE PROGRAM. $31,600 C. THE FOUNDATION CONTRIBUTED TO THE HOSPITAL'S HOSPICE AND PALLIATIVE CARE SERVICES, WHICH PROVIDES END-OF-LIFE CARE THAT INCLUDES THE PHYSICAL, SPIRITUAL AND PSYCHOLOGICAL NEEDS OF PATIENTS AND FAMILIES. ALSO PROVIDED FUNDING FOR HOSPICE PATIENT SPECIAL NEEDS AND STAFF TRAINING THROUGH A GRANT FROM THE SOUTHERN OREGON FRIENDS OF HOSPICE. $30,139 D. THE FOUNDATION PROVIDED FUNDS TO PURCHASE A NEW CARDIAC MONITOR AND VIDEO LARYNGOSCOPE FOR THE EMERGENCY DEPARTMENT THROUGH THE LIGHTS FOR LIFE CAMPAIGN AND THE ELMER C. BIEGEL FAMILY FOUNDATION. $29,935 E. THE FOUNDATION PROVIDED FUNDING FOR THE GREATEST NEEDS OF ACH, WHICH INCLUDED A REMODEL OF THE GIFT SHOP MADE POSSIBLE BY A GRANT FROM THE ASHLAND COMMUNITY HOSPITAL AUXILIARY. $22,901 F. THROUGH THE GENEROSITY OF DR. WILLIAM AND MRS. RUTH EVANS, ASHLAND COMMUNITY HOSPITAL FOUNDATION PROVIDES SCHOLARSHIPS EACH YEAR TO FUTURE ROGUE VALLEY NURSES. SCHOLARSHIPS ARE AWARDED TO STUDENTS ENROLLED IN THE NURSING PROGRAM OF OREGON HEALTH SCIENCE UNIVERSITY AT SOUTHERN OREGON UNIVERSITY AND ROGUE COMMUNITY COLLEGE. FOR THE 2012 CALENDAR YEAR, THE FOUNDATION PROVIDED SCHOLARSHIPS TO 12 STUDENTS. $12,000 G. THROUGH THE FOUNDATION'S ANNUAL EMPLOYEE CAMPAIGN, PROVIDED FINANCIAL SUPPORT TO EMPLOYEES DURING TIMES OF CRISIS THROUGH EMPLOYEE PAYROLL DEDUCTIONS AND OUTRIGHT GIFTS. $8,840 H. THE FOUNDATION PROVIDED FUNDING FOR SIMULATION TRAINING FOR NURSES. THE FUNDING WAS MADE POSSIBLE THROUGH THE SMALL RURAL HOSPITAL IMPROVEMENT GRANT PROGRAM. $8,407 I. ASSISTED PATIENTS UNABLE TO PAY FOR THEIR TREATMENTS THROUGH CONTRIBUTIONS AND ENDOWMENT EARNINGS. $3,954 J. THROUGH THE GENEROSITY OF WILLIAM S. RODDEN, MD, PROVIDED RODDEN SCHOLARSHIPS TO TWO ACH STAFF TO ATTEND THE 2012 ACADEMY OF OPHTHALMOLOGY. $2,778 K. THE FOUNDATION PROVIDED FUNDING TO RELOCATE THE DIAGNOSTIC IMAGING CENTER AND THROUGH A GRANT FROM THE SOROPTIMIST INTERNATIONAL WINE WALK FOR WOMEN'S HEALTH WAS ABLE TO PROVIDE MAMMOGRAMS TO LOW INCOME WOMEN. $2,500 L. THE FOUNDATION PROVIDED A NUMBER OF SMALL GRANTS TO SUPPORT ASHLAND COMMUNITY HOSPITAL INCLUDING FUNDING FOR THE AUXILIARY, THE LABORATORY, THE FAMILY PRACTICE CLINICS, SURGERY, PHYSICAL THERAPY, AND PATIENT-CENTERED CARE INITIATIVES OF PLANETREE INCLUDING THE PURCHASE OF AN iPAD TO HELP MONITOR HAND-HYGIENE. $1,110 M. PROVIDED FUNDING FOR PLANS TO RENOVATE THE ASHLAND COMMUNITY HOSPITAL BIRTH CENTER. $150 N. THROUGH THE CONTINUING EFFORTS OF ASHLAND COMMUNITY HOSPITAL FOUNDATION, THE COMMUNITY OF TALENT, OREGON CONTINUES TO RECEIVE QUALITY HEALTHCARE. IN 1994, THE FOUNDATION CONSTRUCTED A MEDICAL OFFICE BUILDING AND PHARMACY IN THAT COMMUNITY. MEDICAL OFFICE SPACE IN THE BUILDING IS RENTED TO ASHLAND COMMUNITY HOSPITAL'S CENTER FOR FAMILY MEDICINE. BOTH OF THESE PROJECTS HELPED GUARANTEE HEALTH SERVICES TO THE COMMUNITY. $23,232 O. TO PROVIDE ADEQUATE FAMILY PRACTICE CARE IN THE COMMUNITY, IN 1999 ASHLAND COMMUNITY HOSPITAL FOUNDATION CONVERTED A SINGLE-FAMILY RESIDENCE INTO A THREE-PERSON MEDICAL OFFICE BUILDING LOCATED DIRECTLY ACROSS THE STREET FROM THE HOSPITAL. $29,849 P. TO IMPROVE PATIENT CARE, ASHLAND COMMUNITY HOSPITAL FOUNDATION CONSTRUCTED A TWO-STORY MEDICAL OFFICE BUILDING IN ASHLAND, OREGON IN 1999. THIS ENABLED THE FOUNDATION TO LOCATE A VARIETY OF ASHLAND'S FINEST MEDICAL SPECIALISTS IN ONE LOCATION, CLOSE TO ASHLAND COMMUNITY HOSPITAL. THIS PROJECT HAS IMPROVED PATIENT ACCESS TO CARE AND INCREASED PATIENT CONVENIENCE BY HAVING A VARIETY OF SPECIALISTS IN ONE LOCATION. $148,485 Q. TO ENSURE ADEQUATE OFFICE SPACE FOR PHYSICIANS, THE FOUNDATION ACQUIRED A MEDICAL OFFICE BUILDING TO MEET THE INTERNAL MEDICINE DEMANDS OF OUR AGING COMMUNITY. MEDICAL OFFICE SPACE IN THE BUILDING IS RENTED TO ASHLAND COMMUNITY HOSPITAL'S CENTER FOR FAMILY MEDICINE. THIS ACQUISITION HAS HELPED ENSURE QUALITY CARE FOR ASHLAND FAMILIES. $68,944 R. PROVIDE PARKING AND STORAGE SPACE FOR HOSPITAL USE. $8,311 TOTAL PROGRAM SERVICE EXPENSES $611,605
	Form 990, Part VI, Section A, line 6	FOUNDATION BOARD MEMBERS SERVE AS VOTING MEMBERS WITH AUTHORITY AND RESPONSIBILITY TO DEVELOP POLICIES, PROCEDURES, AND REGULATIONS NECESSARY TO OPERATE THE FOUNDATION, PARTICIPATE IN FUNDRAISING THROUGH PERSONAL CONTRIBUTIONS, AND PARTICPATE IN THE VARIOUS CAMPAIGNS NECESSARY TO FINANCE THE ONGOING OPERATION OF THE FOUNDATION AND ITS WORK WITH THE HOSPITAL. BOARD MEMBERS SERVE A THREE YEAR TERM (UNLESS ELECTED TO FILL AN UNEXPIRED TERM).
	Form 990, Part VI, Section A, line 7a	THE OFFICERS SHALL BE ELECTED BY, AND SHALL SERVE AT THE PLEASURE OF, THE BOARD, AND SHALL HOLD THEIR RESPECTIVE OFFICES UNTIL THEIR RESIGNATION, REMOVAL, OR OTHER DISQUALIFICATION FROM SERVICE, OR UNTIL THEIR RESPECTIVE SUCCESSORS SHALL BE ELECTED. THE PRESIDENT SHALL BE ELECTED FOR A TWO-YEAR TERM OF OFFICE. VICE-PRESIDENT, SECRETARY AND TREASURER SHALL BE ELECTED ANNUALLY.
	Form 990, Part VI, Section A, line 7b	FOUNDATION BOARD MEMBERS ARE EXPECTED TO ATTEND MONTHLY BOARD MEETINGS, STANDING COMMITTEES (AS ASSIGNED), AD HOC COMMITTEE MEETINGS (AS APPOINTED) AND SPECIAL EVENTS (AS ANNOUNCED). CONTINUITY OF ATTENDANCE AND PARTICIPATION AS A POLICY MAKER AND PLANNER IS IMPERATIVE FOR SERVING AS A VOTING MEMBER.
	Form 990, Part VI, Section B, line 11	THE ACH FOUNDATION HAS A STANDING ASSET MANAGEMENT COMMITTEE THAT MEETS MONTHLY TO REVIEW FINANCIAL STATEMENTS, INCLUDING EXPENSES, INCOME, GRANTS, CASH DISBURSEMENTS, BALANCE SHEET, PROFIT AND LOSS, AND ANY AUDIT LETTERS. IN ADDITION, TIME IS ALLOCATED AT EACH MONTHLY BOARD MEETING TO REVIEW FINANCIAL STATEMENTS AND THE ANNUAL AUDIT IS PRESENTED TO THE FULL FOUNDATION BOARD UPON ITS COMPLETION. BOTH THE ASSET MANAGEMENT COMMITTEE AND THE BOARD MONITOR THE FINANCIAL RESOURCES TO ENSURE THAT FUNDS ARE APPROPRIATELY ACCOUNTED FOR. FINANCIAL STATEMENTS: 1. THE ACH FOUNDATION IS NOT REQUIRED BY LAW TO UNDERGO AN AUDIT BY AN INDEPENDENT AUDITOR. 2. THE ACH FOUNDATION HAS NOT RECEIVED FEDERAL FUNDS THAT REQUIRES ONE OR MORE AUDITS. 3. THE ACH FOUNDATION BOARD HAS AN ESTABLISHED ASSET MANAGEMENT COMMITTEE WHICH MAKES RECOMMENDATIONS ON THE SELECTION OF THE INDEPENDENT AUDITOR TO THE FOUNDATION BOARD. IN ADDITION, THEY OVERSEE THE INDEPENDENT AUDITOR. 4. THE ACH FOUNDATION CURRENTLY HAS FINANCIAL STATEMENTS COMPILED BY AN INDEPENDENT ACCOUNTANT AND AUDITED ANNUALLY BY A QUALIFIED THIRD-PARTY.
	Form 990, Part VI, Section B, line 12c	ALL BOARD MEMBERS ARE EXPECTED TO ACCEPT AND ADHERE TO POLICIES AND HOLD FELLOW BOARD MEMBERS AND STAFF TO THE SAME STANDARDS. MONITORING OF SUCH IS ONGOING.
	Form 990, Part VI, Section C, line 18	THE FOUNDATION'S DOCUMENTS AVAILABLE FOR PUBLIC INSPECTION MAY BE REQUESTED FOR VIEWING BY CONTACTING THE FOUNDATION'S OFFICE.
	Form 990, Part VI, Section C, line 19	THE FOUNDATION'S FINANCIAL STATEMENTS AND GOVERNING DOCUMENTS ARE AVAILABLE UPON REQUEST AND BY VISITING THE WEBSITE WWW.ACHFOUNDATION.ORG
Changes in Net Assets or Fund Balances:	Form 990, Part XI, line 9:	CHANGE IN MARKET VALUE OF TRUST ASSETS 2,504.
FINANCIAL STATEMENT AND AUDIT OVERSIGHT		THE OVERSIGHT OR SELECTION PROCESS HAS NOT CHANGED DURING THE YEAR.